Provider Demographics
NPI:1285108217
Name:ST FLEUR, SABIA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SABIA
Middle Name:
Last Name:ST FLEUR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 GENOA ST
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-5089
Mailing Address - Country:US
Mailing Address - Phone:954-471-4839
Mailing Address - Fax:
Practice Address - Street 1:5110 GENOA ST
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-5089
Practice Address - Country:US
Practice Address - Phone:954-471-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-12
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9312188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2008014120OtherANCC FNP-BC